Kaneisha Tierra Whack, MS, CACP - Counselor in Sumter, SC

Kaneisha Tierra Whack, MS, CACP is a Counselor - Addiction (substance Use Disorder) based in Sumter, South Carolina. Kaneisha Tierra Whack is licensed to practice in * (Not Available) (license number ) and her current practice location is 525 N Lafayette Dr, Sumter, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 436-2462.

NPI number for Kaneisha Tierra Whack is 1902372527 and her current mailing address is 115 N Harvin St, Sumter, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902372527.

Contact Information

Kaneisha Tierra Whack, MS, CACP
525 N Lafayette Dr,
Sumter, SC 29150-4347
(803) 436-2462
Not Available

Healthcare Provider's Profile

Full NameKaneisha Tierra Whack
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location525 N Lafayette Dr, Sumter, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902372527
  • Provider Enumeration Date: 10/22/2018
  • Last Update Date: 10/22/2018

Medical Identifiers

Medical identifiers for Kaneisha Tierra Whack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902372527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaneisha Tierra Whack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaneisha Tierra Whack, MS, CACP
115 N Harvin St,
Sumter, SC 29150-4956

Ph: (803) 436-2462
Kaneisha Tierra Whack, MS, CACP
525 N Lafayette Dr,
Sumter, SC 29150-4347

Ph: (803) 436-2462

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› Verified 1 days ago


Counselor in Sumter, SC

Karan Godette, M.ED., M.A., LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Main St, Sumter, SC 29150
Phone: 803-775-5080    
Cynthia M Fazekas,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Main St, Sumter, SC 29150
Phone: 803-775-5080    Fax: 803-773-6256
Mrs. Ashley Moise,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1175 N Guignard Dr, Sumter, SC 29150
Phone: 803-775-9364    
Ms. Jeemy D. Grate-pearson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: Swcmhc/act, 764 West Liberty St., 2 Medical Ct., Sumter, SC 29151
Phone: 803-778-4195    Fax: 803-778-6598
Ms. Ponya J. Ford,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 215 N Magnolia St, Sumter, SC 29150
Phone: 803-775-9364    Fax: 803-773-6615
Ms. Lucie M. Moise, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1278 N Lafayette Dr, Sumter, SC 29150
Phone: 803-774-4500    Fax: 803-774-4641
Donte Terrell Richardson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 801 N Pike West, Sumter, SC 29153
Phone: 843-331-4087    

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